| NPI | 1629534516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06380800) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2019-02-15 |